Appointment Request

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Schedule an Appointment

Please use this form to schedule a free initial 20 minute phone consultation. You may also call or email anytime using the information below. I will respond within 24 business hours.

By submitting this form via this web portal, you acknowledge and accept the risks of communicating your health information via this unencrypted email and electronic messaging and wish to continue despite those risks. By clicking "Yes, I want to submit this form" you agree to hold Brighter Vision and ASK Psychotherapy and Consulting, LLC harmless for unauthorized use, disclosure, or access of your protected health information sent via this electronic means.